Active NPI
Sunitha Achamma Job
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1225320781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501014232
- Practice address
- 3201 West Commercial Blvd
Suite 116 Medpro Health Care Staffing
Fort Lauderdale, FL 33309 - Phone
- (800) 886-8108
- Fax
- (866) 422-6431
- NPI assigned
- May 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501014232 | MI | Primary |
| Physical Therapist | 225100000X | 032763 | NY |
Addresses
Primary practice location
3201 West Commercial Blvd
Suite 116 Medpro Health Care Staffing
Fort Lauderdale, FL 33309
Mailing address
3278 Coral Ridge Drive
3278
Coral Springs, FL 33065
Phone (954) 394-4464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501014232 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medpro | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1033353339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1225320781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3278 CORAL RIDGE DRIVE",
"address_2": "3278",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "33065",
"telephone_number": "954-394-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 WEST COMMERCIAL BLVD",
"address_2": "SUITE 116 MEDPRO HEALTH CARE STAFFING",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "800-886-8108",
"fax_number": "866-422-6431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHAMMA JOB",
"first_name": "SUNITHA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-03",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501014232",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032763",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.